DOUGLAS EBERSOLE MD NPI 1972575736

NPI Information

  • NPI: 1972575736
  • Provider Name: DOUGLAS EBERSOLE, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 LAKELAND HILLS BLVD
    LAKELAND, FL
    ZIP 33805
  • Phone: (863) 680-7490

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NPI Details

Douglas Ebersole, MD is an interventional cardiology internal medicine in Lakeland, FL with 40 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Douglas Ebersole, MD NPI is 1972575736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

1600 LAKELAND HILLS BLVD
LAKELAND, FL
ZIP 33805
Phone: (863) 680-7490
Fax: (866) 264-8519

The NPI 1972575736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Repair of left upper heart chamber with implant with review by radiologist (HCPCS:33340)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Repair of mitral valve through the skin, initial prosthesis (HCPCS:33418)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 2/6/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyME51795FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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